go back

New Jersey rates for HCPCS 81204

AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $181.97 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $112.20 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $302.00 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $131.83 / $245.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $144.54 / $263.03
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $138.04 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $81.28 / $144.54